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When it comes to performing a safe arthroscopic procedure, obtaining an optimal view of the surgical field is essential. For this, a proper functioning of the optical systems and an appropriate distension of the joint are required. With this goal in mind, irrigation systems have been developed that inject fluid into the joint during the arthroscopic procedure. The pressure exerted by the fluid distends the joint space, while the fluid itself removes any wear debris or blood found in the surgical field and keeps the soft tissues apart. In this way, a clear view can be obtained of the whole area. In addition to gravity irrigation systems with or without a pressurized bag, automatic infusion pumps can also be used.
Key words:
irrigation
arthroscopy
gravity
infusion pump
joint distension
A la hora de realizar un procedimiento artroscópico de manera segura es esencial una visualización óptima; para ello es necesario un correcto funcionamiento del sistema óptico y una adecuada distensión articular. Con este propósito se han diseñado sistemas de irrigación que introducen líquido en la articulación durante la artroscopia. La presión del líquido de irrigación distiende el espacio articular, mientras el flujo elimina detritus o sangre y mantiene apartados los tejidos blandos. De esta manera puede obtenerse y mantenerse un campo visual nítido. Además de los sistemas de irrigación por gravedad, con o sin bolsas presurizadas, pueden emplearse bombas automáticas de perfusión.
Palabras clave:
irrigación
artroscopia
gravedad
bomba de perfusión
distensión articular
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